S. Indra Lesmana
3. Fakultas Fisioterapi, Universitas Esa Unggul, Jakarta

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MANIPULASI VISERAL LEBIH BAIK DARIPADA SENAM AEROBIK DALAM MENGURANGI PRIMARY DYSMENORRHEA PADA MAHASISWI DI POLTEKKES DR.RUSDI MEDAN Putri Ayu, Nuri; Purwa Samatra, DW. Pt. Gde; Lesmana, S. Indra
Sport and Fitness Journal Volume 5, No. 1, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Abstract

Berbagai gejala yang dirasakan wanita saat menstruasi sangat mengganggu aktivitas sehari-hari sehingga produktivitas menjadi menurun. Primary Dysmenorrhea berat dengan gejala tidak dapat mengerjakan apapun, ada yang pingsan, merasa mual, muntah. Primary Dysmenorrhea ringan biasanya mengalami pegal pada paha, sakit pada payudara, perut kembung, sakit kepala, sakit punggung, merasa lelah, mudah tersinggung, kehilangan keseimbangan, menjadi ceroboh, tidur terganggu. Untuk mengurangi Primary Dysmenorrhea ada beberapa intervensi seperti manipulasi viseral dan senam aerobik. Tujuan dari penelitian ini adalah menganalisa perbedaan manipulasi viseral dengan senam aerobik dalam mengurangi primary dysmenorrhea pada mahasiswi di Poltekkes Dr.Rusdi Medan. Design penelitian ini menggunakan metode penelitian experimental study pre dan post test design. Didapatkan sampel berjumlah 30 orang yang didapatkan dari hasil sistematik random sampling. Kelompok pertama dilakukan manipulasi viseral (n=15). Kelompok kedua dilakukan senam aerobik (n=15). Penelitian ini dilakukan selama 8 minggu dengan frekuensi 3 kali seminggu menggunakan skor MSQ (Menstrual Symptom Quetionare). Dari analisis statistik parametrik dengan uji hipotesis paired samples t-test. Hasil uji hipotesis menunjukkan kedua kelompok perlakuan secara signiikan dapat menurunkan primary dysmenorrhea, nilai rerata sebelum perlakuan kelompok I 93,07±8,03 dan sesudah perlakuan 46,73±5,21 nilai p=0,00 (p<0,05). Pada kelompok perlakuan II didapatkan nilai rerata sebelum perlakuan 93,87±9,65 dan setelah perlakuan 53,27±3,24 nilai p=0,00 (p<0,05). Pada hasil uji Independent Samples Test, didapatkan hasil p=0,00 (p<0.05) yang berarti ada perbedaan signifikan antara kelompok perlakuan I dengan kelompok perlakuan II. Simpulan pada penelitian ini didapatkan hasil bahwa kelompok perlakuan manipulasi viseral lebih efektif daripada senam aerobik dalam mengurangi primary dysmenorrhea pada mahasiswi di Poltekkes Dr.Rusdi Medan.
PENAMBAHAN KINESIOTAPING PADA LATIHAN QUADRICEPS SETTING MENINGKATKAN KEMAMPUAN FUNGSIONAL PENDERITA OSTEOARTHRITIS SENDI LUTUT Wibowo, Eko; Pangkahila, J. Alex; Lesmana, S. Indra; Sandi, Nengah; Griadhi, I Putu Adiartha; -, Sugijanto
Sport and Fitness Journal Volume 5, No.3, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (514.354 KB) | DOI: 10.24843/spj.2017.v05.i03.p07

Abstract

Osteoarthritis of the knee joint is a chronic degenerative joint disease, with slowly progressive runs, where the structure of joints have a pathological changes. Characterized by imbalances of regeneration and degeneration that causes pain, impaired joint mobility or limited range of motion (LGS), stiffness, instability and muscles weakness arround the joint. The purpose of this study was to compare functional ability level in the additional kinesiotaping for quadriceps setting exercise in patients with osteoarthritis of the knee joint. This research uses experimental methode with pre-test and post-test group design. Number of samples of the first group 9 patients were given quadriceps setting exercise with a duration of 3 sets, 10 repetitions, three times a week for 3 weeks, in second group were 9 patients given kinesiotaping combine with quadriceps setting with 3-days used and 2-day intervals. The results showed : (1) there is an increase functional ability test results in the treatment group I. Related t-test results show mean ± SB pre test (28.18 ± 2.84) and the mean ± SB post test (31.41 ± 3.31) with p = 0.000 (p <0.05). (2) there is increased functional ability test results in the treatment group II. Results related t-test showed mean ± SB pre test (26.48 ± 3.74) and (31.30 ± 3.33) with p = 0.000 (p <0.05). (3) there are significant differences in test results koos in the treatment group I and group II treatment. Comparison test results show mean ± SB group I (3.22 ± 1.65) and the mean ± SB group II (4.82 ± 1.12) with p = 0.003 (p> 0.05). It was concluded that the addition kinesiotaping the quadriceps setting exercise can improve functional ability of patients with osteoarthritis of the knee joint. There is a significant difference in functional enhancement between the quadriceps setting treatment and the addition of kinesiotaping to the quadriceps setting exercise. The addition of kinesiotaping to the quadriceps setting exercise is better than the quadricep setting exercise to improve functional ability in patients with knee osteoarthritis.
PEMBERIAN LATIHAN STABILISASI PADA TERAPI DASAR MICRO WAVE DIATHERMY LEBIH EFEKTIF UNTUK MENGURANGI NYERI DARIPADA WILLIAM FLEXION PADA TERAPI DASAR MICRO WAVE DIATHERMY PADA PASIEN SPONDYLOARTHROSIS LUMBAL Purba, Jhon Roby; Tirtayasa, Ketut; Lesmana, S. Indra; Muliarta, Made; Sutjana, I D P; Irfan, Muh.
Sport and Fitness Journal Volume 5, No.2, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Abstract

Background: Spondyloarthtrosis lumbal is a kind of low back pain which caused by degeneration of discus, facet joint on lumbal. This degeneration causes a pressure on foramen invertebralis that causes tissue inflammation or it also caused because the spasm muscle that will causes ischemic, and at last ischemic causes pain. To decrease pain in spondyloarthrosis lumbal patient, we can use Stabilization Exercise and william flexion exercise at basic therapy. Objective: The purpose of this research is to declare that giving the stabilization exercise on micro wave diathermy basic therapy more effective in decreasing pain than William flexion exercise on micro wave diathermy basic therapy in spondyloarhtrosis lumbal patient. Method: This research was a true experimental, randomized pre and post test two group design in March to April 2016. From 24 samples of 40-60 years old spondyloarthtrosis lumbal patient in RSUD Dr.H..Kumpulan Pane Tebing Tinggi based in the inclusion criteria, were divided to two groups and get randomly treatment. Group I with stabilization exercise after micro wave diathermy basic therapy and group II with William Flexion Exercise after micro wave diathermy basic therapy. Training conducted over six weeks, 3 times per week and 3 times repetition on each training section. Before and after 6 weeks training, all of the sample measured the pain score using Visual Analog scale. Result: The analysis result show that the decreasing pain score that happened on group I, the initial value 52,50 and final value 20,83 with difference value 31,67 and significantly difference (p <0,05) and decreasing pain score value on group II, the initial value 52,50 and the final value 29,17 with difference value 23,33 in significantly (p <0,05). It means on group I and group II got a significantly decreased of pain. Based on Mann Whitney Test, the average comparison of the decreasing pain after the treatment on both group significantly difference (p <0,05). Conclusion: The conclusion from this research is that stabilization on basic therapy micro wave diathermy is more effective to decrease pain than william flexion exercise on basic micro wave diathermy on spondyloarthrosis lumbal patient.
PELATIHAN SHOULDER GIRDLE DYNAMIC STABILIZATION LEBIH BAIK DARIPADA PELATIHAN PRONE SCAPULAR STABILIZATION DALAM MENINGKATKAN KEMAMPUAN FUNGSIONAL BAHU PASCA CEDERA SWIMMER SHOULDER PADA ATLET RENANG GAYA BEBAS DI KALIMANTAN BARAT Junaedi, Myranti Puspitaningtsya; Adiatmika, I Putu Gede; Lesmana, S. Indra; Tirtayasa, Ketut; Weta, I Wayan; -, Wahyuddin
Sport and Fitness Journal Volume 7, No.1, Januari 2019
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (319.806 KB) | DOI: 10.24843/spj.2019.v07.i01.p07

Abstract

ABSTRACTBackground: High duration of training performed by swimmers with dominant freestyle stroke, resulted in significant number of shoulder rotation movement. The presence of continous movement that occurs in the shoulder of swimmers can cause the risk of shoulder injury, known as swimmer?s shoulder. The presence of shoulder injuries among swimmers resulting a decrease in functional ability on the shoulder of swimmers. The training of shoulder girdle dynamic stabilization and prone scapular stabilization is a training that can be used to improve the functional ability among swimmers shoulders. Method: This study used randomized pre test and post test control group design. This study performed on 20 swimmers that diagnosed of swimmer shoulder injury which divided into 2 groups. Treatment Group was given shoulder girdle dynamic stabilization and Control Group was given prone scapular stabilization training. Shoulder functional ability was measured using SPADI and analized on each group. Result: This research showed that every functional training that was given to each sample groups giving an effect to improving shoulder functional ability post swimmer?s shoulder injury among swimmers. There are significant alteration in Treatment Group and Control Group from pre to post test, both was obtained (p< 0.001). There is significant difference from post test between Treatment Group and Control Group, came with (p=0.001). Conclusion: Shoulder girdle dynamic stabilization better than prone scapular stabilization training in improving the functional ability of the shoulder post swimmer shoulder injury among freestyle stroke swimmer athlete in West Kalimantan. Keywords: swimmer?s shoulder injury, shoulder girdle dynamic stabilization, prone scapular stabilization, SPADI
PERBEDAAN PENGARUH BACK STRENGTHENING EXERCISE DAN PILATES EXERCISE TERHADAP AKURASI TENDANGAN PADA PEMAIN SEPAK BOLA Virka Sari, Deasy; Adiatmika, I Putu Gede; Imron, M. Ali; Tianing, Ni Wayan; Sagung Sawitri, Anak Agung; Lesmana, S. Indra
Sport and Fitness Journal Volume 7, No.2, Mei 2019
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (303.72 KB) | DOI: 10.24843/spj.2019.v07.i02.p04

Abstract

Background: Kick accuracy is a person's ability to control free movements against a target. Kick accuracy are influenced by core muscles, concentration and dynamic balance. Back strengthening exercise and Pilates exercise was given by the researcher to improve the accuracy of kicking among soccer players. Purpose: The difference effect of back strengthening exercise and Pilates exercise on kick accuracy among soccer players. Methods: This study was quasi-experimental with a pre-test and post-test group design. There were 22 subjects divided randomly into 2 groups. Group I with back strengthening exercise and group II Pilates exercise. Exercise was given 3 times a week for 5 weeks. Kick accuracy measurement tool used plywood target measurement. Result: research shows that the intervention that was given to groups I and II could improve kick accuracy in soccer players. The effect test are using paired sample t-test in group I with mean pre and post test, obtained (p=0.004) and in group II obtained (p=0.011). The different test among two groups are using independent sample t test with post treatment data in each group, obtained (p=0.100). Conclusion: There is no difference in the effect between giving back strengthening exercise and Pilates exercise to the accuracy of kick on the soccer player.
KOMBINASI MCKENZIE EXERCISE DAN ULTRASOUND LEBIH BAIK DARIPADA MYOFASCIAL RELEASE DAN ULTRASOUND UNTUK MEMPERBAIKI DISABILITAS PADA MECHANICAL NECK PAIN Kartiko Pertiwi, Jasmine; Tirtayasa, Ketut; -, Sugijanto; Pangkahila, J. Alex.; Muliarta, I Made; Lesmana, S. Indra
Sport and Fitness Journal Volume 5, No.3, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (459.935 KB) | DOI: 10.24843/spj.2017.v05.i03.p11

Abstract

Introdaction: Patients with mechanic neck pain a population that often found overstretches it is caused by occurred between the two bones in the neck on the ligaments and soft tissues located around, static resulting in hipomibilitas the joint space and joint play movement, resulting in the emergence of provocation on the part of the occipital region on Cervical stressor resulting in excess tissue around the contractile and non-contractile. Purpose: This study the application of ultrasound and McKenzie exercise and myofacial release ultrasound in reducing disability in mechanical neck pain, Methods: This research method is a quasi experimental research with Pre and Post Test Two Group Design. The samples were divided into two treatment groups consisting of McKenzie exercice and ultrasounds were 20 participants with myofascial release and ultrasound with 19 participants, a total of 39 participants. Result: Differences between the mean decrease in neck with NDI disability before and after the application of each group were tested by t-test related, the results obtained mean between the groups before treatment 17,10±1,889% and after treatment 12,90±2,490% by value (p = 0.001) with a mean difference of 42% and showed the average group between before treatment 17,42±2,388% and after treatment 15,63±2,362% (p = 0.001) with a mean difference of 17,9%. The statistical test of using independent t-test showed is a significant difference between group I and group II and the result is p = 0.001 (p< 0.05). Conclusion: application of combined Mc Kenzie exercise and ultrasound better than the application of a combination of myofacial release and ultrasound in reducing disabilities in case of mechanical neck pain.
INTEGRATED NEUROMUSCULAR INHIBITION TECHNIQUE LEBIH MENURUNKAN NILAI DISABILITAS LEHER DARIPADA AKTIVASI DEEP CERVICAL FLEXOR MUSCLE PADA MYOFASCIAL PAIN SYNDROME OTOT UPPER TRAPEZIUS Hidayat, Nitaya Putri Nur; Samatra, Dewa Putu Gede Purwa; Lesmana, S. Indra; Karmaya, Nyoman Mangku; Tianing, Ni Wayan; Adiatmika, I Putu Gede
Sport and Fitness Journal Vol 8 No 1 (2020): Volume 8, No. 1, Januari 2020
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (442.844 KB) | DOI: 10.24843/spj.2020.v08.i01.p06

Abstract

Pendahuluan: Perkembangan teknologi memudahkan seseorang untuk menyelesaikan tugas sehari-hari. Banyak orang menghabiskan sebagian besar waktunya untuk berada di depan gawai. Dampak negatif yang timbul pada penggunaan gawai yang berlebihan adalah buruknya postur tubuh, karena seseorang cenderung akan duduk dengan posisi leher yang membungkuk ke depan. Hal tersebut akan menyebabkan ketidakseimbangan kerja otot area leher, terjadi ketegangan terus menerus tanpa disertai relaksasi yang cukup pada otot upper trapezius akan menimbulkan myofascial pain syndrome pada otot tersebut. Tujuan Penelitian: Untuk menemukan intervensi fisioterapi yang efektif dan efisien guna menurunkan nilai disabilitas leher pada myofascial pain syndrome otot upper trapezius. Metode: Penelitian ini bersifat experimental, dengan pretest-posttest design dengan randomisasi sebagai desain penelitiannya. Intervensi dilakukan 3 kali seminggu selama 4 minggu. Sampel merupakan pasien di klinik Fitasoma, Colomadu, Karanganyar, yang terdiri dari 19 orang berusia 25 - 40 tahun, dibagi menjadi 2 kelompok yang terdiri dari Kelompok I dengan perlakuan intervensi integrated neuromuscular inhibition technique yang berjumlah 9 orang dan Kelompok II dengan perlakuan aktivasi deep cervical flexor muscle yang berjumlah 10 orang. Pengukuran nilai disabilitas menggunakan Neck Disability Index. Hasil: Terdapat penurunan nilai disabilitas leher yang bermakna pada ke dua kelompok. Pada Kelompok I didapat rerata dari 40,00 menjadi 21,67  dan pada Kelompok II di dapat rerata dari 39,10 menjadi 30,30. Uji beda setelah perlakuan pada masing-masing kelompok didapatkan nilai p=0,042 dan selisih rerata 18,33 pada Kelompok I dan 8,80 pada Kelompok II yang berarti Integrated Neuromuscular Inhibition Technique lebih baik daripada aktivasi deep cervical flexor muscle dalam menurunkan nilai disabilitas leher.
PENAMBAHAN SENAM OTAK PADA PROGRAM SENAM SEHAT ANAK INDONESIA (SSAI) DAPAT MENINGKATKAN MEMORI JANGKA PENDEK DAN INDEKS KESEGARAN JASMANI SISWA SD INPRES PONDANG Ingrid Robot, Joanne; Adiputra, I Nyoman; Lesmana, S. Indra; Sutjana, Dewa Putu; Griadhi, I Putu Adiartha; Imron, M. Ali
Sport and Fitness Journal Volume 7, No.1, Januari 2019
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (285.218 KB) | DOI: 10.24843/spj.2019.v07.i01.p02

Abstract

ABSTRACTBackground: Short-term memory plays a role in all children's cognitive processes both in understanding the language, working on the task and problem-solving process. The speed of cognitive processes in children depend on the degree of activation of short-term memory. With stimulation that given in the form of brain-activating movements is expected to integrate short-term memory and long-term memory to generate new knowledge or expand the existing load in long-term memory. Cognitive function and academic achievement can also be influenced by the level of physical fitness. Physical fitness is very useful to support the physical capacity of children who in the end expected to improve his performance. Objective: This research was conducted to find out how big increase of short-term memory and physical fitness at the addition of Brain Gym in SSAI program at elementary school student of Inpres Pondang. Method: This research is true experimental, using two group pre and post test control group design. This research was conducted at SD Inpres Pondang, 3 times weekly for 6 weeks, at January 22, 2018 - March 05, 2018. The sample of research is 42 people divided into two groups. The Control Group in the form of SSAI program and the Treatment Group was given the addition of Brain Gym in the SSAI program. The measuring instrument used to memory span to measure short-term memory and TKJI to measure physical fitness. Results: The results of hypothesis testing using Wilcoxon test and Mann Whitney test. Wilcoxon test results showed short-term memory improvement in the treatment group significantly (p<0.05), the control group showed significant short-term memory increase (p<0.05). The result of hypothesis test shows the value of increase of physical fitness index in the treatment group significantly (p<0.05). The increase value of physical fitness index in control group significantly (p<0.05). Mann Whitney test results showed the value of span digits in the treatment group and control group with p=0.005 (p<0.05). Physical fitness value in treatment group and control group with p value = 0.091 (p>0.05). Conclusion: Statistically there is a difference in the addition of brain gymnastics to SSAI in increasing short-term memory of elementary students. Statistically there is no difference in the addition of brain gymnastics in SSAI in improving physical fitness in elementary school students.Keywords: Short term memory, physical fitness, memory span, Indonesian physical fitness test, brain gym, healthy gymnastics Indonesian children.
LATIHAN HIGH-INTENSITY INTERVAL TRAINING RASIO WORK-TOREST 2:1 SAMA BAIKNYA DENGAN 1:1 DALAM MENINGKATKAN DAYA TAHAN KARDIORESPIRASI PADA PELARI KOMUNITAS Usmany, Leandra Erdina; Dinata, I Made Krisna; Lesmana, S. Indra; Pangkahila, J Alex; Adiputra, Luh Made Indah Sri Handari; Griadhi, I Putu Adiartha
Sport and Fitness Journal Vol 8 No 1 (2020): Volume 8, No. 1, Januari 2020
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (585.086 KB) | DOI: 10.24843/spj.2020.v08.i01.p02

Abstract

Pendahuluan: Performa seorang pelari dipengaruhi oleh beberapa faktor, salah satunya daya tahan kardiorespirasi. High-intensity interval training (HIIT) telah diusulkan sebagai strategi latihan yang menghemat waktu untuk meningkatkan daya tahan kardiorespirasi (VO2max). Tujuan penelitian ini untuk mengetahui perbandingan pengaruh HIIT rasio work-to-rest 2:1 dengan 1:1 dalam meningkatkan daya tahan kardiorespirasi pada pelari komunitas. Metode: Penelitian ini bersifat eksperimental dengan rancangan berupa randomized pre and post test group design, teknik pengambilan sampel menggunakan consecutive sampling. Sampel penelitian berjumlah 22 orang usia 20-30 tahun. VO2max diukur dengan menggunakan 1,5 mile run test / tes lari 2,4 km. Hasil: . Hasil analisis uji t tidak berpasangan setelah intervensi pada kedua kelompok diperoleh nilai p = 0,579 (p > 0,05) yang berarti tidak ada perbedaan yang bermakna pada intervensi HIIT rasio work-to-rest 2:1 dibandingkan dengan HIIT rasio work-to-rest 1:1 terhadap peningkatan daya tahan kardiorespirasi pada pelari komunitas. Simpulan : HIIT 1:1 sama baiknya dengan 2:1 dalam meningkatkan daya tahan kardiorespirasi. Latihan HIIT dengan rasio work-to-rest 1:1 dan 2:1 dapat  digunakan sebagai strategi latihan untuk meningkatkan daya tahan kardiorespirasi (VO2max).
PEMBERIAN LATIHAN INTERVAL INTENSITAS TINGGI LEBIH EFEKTIF DARIPADA LATIHAN KONTINU INTENSITAS SEDANG DALAM MENURUNKAN PERSENTASE LEMAK TUBUH PADA MAHASISWI DENGAN OVERWEIGHT DI PROGRAM STUDI FISIOTERAPI FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA Wiguna, I Nyoman Agus Pradnya; Adiatmika, I Putu Gede; Lesmana, S. Indra; Griadhi, I Putu Adiartha; Sundari, Luh Putu Ratna; Purnawati, Susy
Sport and Fitness Journal Vol 8 No 1 (2020): Volume 8, No. 1, Januari 2020
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (739.072 KB) | DOI: 10.24843/spj.2020.v08.i01.p10

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Pendahuluan: Overweight di kalangan mahasiswi masih banyak dijumpai, yang harus segera diatasi agar tidak menyebabkan berbagai penyakit dikemudian hari. Tujuan Penelitian: untuk membuktikan pemberian latihan interval intensitas tinggi lebih efektif daripada latihan kontinu intensitas sedang dalam menurunkan persentase lemak tubuh. Metode Penelitian: Penelitian ini merupakan penelitian eksperimental dengan rancangan randomized pre-test dan post-test control group design. Sampel penelitian sebanyak 20 mahasiswi overweight, dan terbagi ke dalam 2 kelompok. Kelompok 1 sebagai kelompok pelatihan interval intensitas tinggi, sedangkan Kelompok 2 sebagai kelompok pelatihan kontinu intensitas sedang. Persentase lemak tubuh diukur menggunakan Handheld BIA. Hasil Penelitian: Berdasarkan hasil uji Independent sample t-test menunjukkan rerata persentase lemak tubuh setelah pelatihan antar kelompok dengan beda rerata penurunan lemak tubuh sebesar 5,65±0,81% pada Kelompok 1 dan 3,33±0,59% pada Kelompok 2 serta diperoleh nilai p=0,002 (p<0,05). Simpulan: Pelatihan interval intensitas tinggi lebih efektif daripada pelatihan kontinu intesitas sedang dalam menurunkan persentase lemak tubuh pada mahasiswi dengan overweight di Program Studi Fisioterapi Fakultas Kedokteran Universitas Udayana.